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ELEC� .�ICAL PERMIT AP�i�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> I70 y R�XE F1��P <br /> PROJECT ADDRESS <br /> U?iL�Ty �l�!{i o-F' Gv,¢� <br /> Owner Mail Address <br /> Ciry State2iP Phone <br /> A r�`T r��o,�o�3,�,vo <br /> Tenant � Mail Address Ciry Slate2ip Phone <br /> �/,�iLuPs E sdv E�Xr� , �0 6ox R,3 ,�,du c� iv�! 99o�y y�r) �» y�6r' <br /> Electrical Contractor Mail Address City State/Zip ' Phone <br /> ��J/l,�sE•�ss �hG �Ssv <br /> State License Number Contract Pnce of',Nodc <br /> �,,eSdi/� �� � Fir..2 .Gk�✓ �/�it�vf i'�s) ��a,o�. <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriptian ol Work to Be Done: �p f}/vj p �R //LE FD/� C'Qq/f /�}/y�L/f (..'��• _ • <br /> _P�KT o r' �i�`i /�Co,�oa�9+✓O CA BlE G,� �� — <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPP.CES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC.3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROI RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLETED WHETNER SPECfFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OA LOCAL L4W REGULATING CONSTRUCTfON OR THE PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORlZED BY THE <br /> OWNEA OF 7HIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> � � J � FEE <br /> Signature Date <br /> ELECAP�REV 812001) <br /> Co20� asz <br />